Purpose
This concept analysis was performed to clarify “stress in hemodialysis patients”. Methods: Walker and Avant’s methodology guided the analysis. In addition, the concept was compared with stress from other perspectives. Results: Stress in hemodialysis patients was defined in terms of “Physical”, “Psychological”, “Social ‧ Economic”, and “Behavioral” dimensions. Stress in hemodialysis patients is preceded by kidney failure, fear of treatment, and uncertainty about prognosis, after which there is often negative coping such as non-compliance with treatment, or positive coping such as maintaining the status quo, relying on medical staff, conforming to treatment, and self-management. Conclusion: It is necessary to develop a stress intervention program suitable for hemodialysis patients and a tool to identify the concept of stress in hemodialysis patients suitable for domestic situations, as well as conduct further research to identify its influencing factors.

Citations

• Mediating Effect of Shared Decision-Making on the Relationship between Patient Activation and Self-Management in Patients on Hemodialysis: A Cross-Sectional Study
  Mi Yeon Kim, So Young Yun
  Korean Journal of Adult Nursing.2025; 37(2): 177.     CrossRef
• Lived Experience of Kidney Transplant Recipients with Kidney Graft Failure
  Younghui Hwang, Kyoungok Min, Haeng-Mi Son
  Journal of Korean Academy of Nursing.2024; 54(1): 93.     CrossRef
• Effects of self-care intervention using a mobile instant messenger on hemodialysis patient’s knowledge, self-efficacy, self-care behavior and physiological index
  Yu Kyung Shin, Mi Young Kim
  Journal of Korean Biological Nursing Science.2024; 26(2): 123.     CrossRef

Purpose
The aim of this study was to evaluate the validity and reliability of a Korean version of the Psychological Adaptation Scale (K-PAS) for patients on hemodialysis. Methods: The PAS was translated into Korean with the forward and backward translation method. The data were collected from 171 patients on hemodialysis at eight general hospitals in South Korea. Content, construct, criterion validity were evaluated. Cronbach's ⍺ coefficients were used to examine the scale’s reliability. Jamovi 1.1.9 software was used for data analysis. Results: The K-PAS consists of 15 items in four domains, including coping efficacy, self-esteem, social integration, and spiritual well-being. The results of the confirmatory factor analysis of the K-PAS showed good fitness and reliability (x² = 235.00 (p<.001), df=84, normed x²=2.79, root mean square error of approximation=.10, comparative fit index=.92, Tucker-Lewis index=.90). The K-PAS was significantly correlated with depression (r=-.32, p<.001), social support (r=.32, p<.001), and quality of life (r=.46, p<.001). Internal consistency, depicted by Cronbach's ⍺, was .94 for the total scale and ranged from .82 to .90 for all subscales. Conclusion: The K-PAS is a valid and reliable measure to assess psychological adaptation in patients on hemodialysis. Owing to its simplicity and ease of use, it may also prove to be a good assessment tool for psychological adaptation in the context of other chronic diseases.

Citations

• Predictors of psychosocial adaptation in haemodialysis patients according to haemodialysis vintage: a quantitative study
  Ae Kyung Chang, Ah Young Kim
  Contemporary Nurse.2025; : 1.     CrossRef

Purpose
The purpose of this study was to explore and describe the process of illness adaptation of patients with Atrial Fibrillation (AF).
Methods
Data were collected from December 2017 to July 2018 through individual in-depth interviews with thirteen patients with AF. Verbatim transcripts were analyzed using the grounded theory methodology developed by Corbin and Strauss.
Results
The core category about the illness adaptation process of patients with AF was identified as “living a life managing the silent insurrection of the heart.” The process of illness adaptation of patients with AF consisted of four phases: “withdrawal”, “transition”, “practice”, and “adeptness”.
Conclusion
An in-depth understanding of the illness adaptation process of patients with AF will guide nurses in proactively developing and implementing effective nursing interventions to better support patients with AF in Korea.

PURPOSE
The purpose of this study was to better understand the concept of fighting spirit in Korean patients with cancer by identifying its dimensions and attributes and clarifying its definition through concept analysis.
METHODS
The hybrid model was used to perform the concept analysis of fighting spirit in patients with cancer. Through a review of 11 studies in the theoretical phase and interviews of 12 patients with cancer in the field phase, the derived results were brought together in the integration phase. The interviews were conducted from April 2017 to March 2018.
RESULTS
The concept of fighting spirit in Korean patients with cancer was found to have four dimensions with eight attributes: personal factors (acceptance, self-control, goals of life, change in belief, and positive attitude), sociocultural factors (supportive relationships), environmental factors (therapeutic environment), and spiritual factors (reliance on faith).
CONCLUSION
In this study, fighting spirit in Korean patients with cancer was characterized as the belief in overcoming cancer by accepting it as a part of life, having a goal in life, maintaining self-control with a positive attitude, and continuing to maintain health with social and spiritual support in a therapeutic environment. Based on the results, future studies should develop a tool for measuring the fighting spirit of patients with cancer and effective programs for improving patients' fighting spirit.

Citations

• A North Korean Defector’s Experience With Becoming A Nurse in South Korea
  Sang Hui Chu, Jinsook Kim
  Journal of Korean Public Health Nursing.2024; 38(2): 220.     CrossRef
• The Effects of Coping Strategies Between Uncertainty and Quality of Life of Korean Women With Gynecological Cancer
  Eungil Ko, Yaelim Lee
  Advances in Nursing Science.2024; 47(3): E84.     CrossRef
• Perceptions of the meaning of life among Korean patients with advanced cancer: A mixed-methods study
  Su-Jin Koh, Kyung-Ah Kang, Hyeyeong Kim, Jaekyung Cheon, Hyeon-Su Im, Jae-Hon Lee, Minsu Ock, Juhee Cho, Eun-Hye Lee
  Palliative and Supportive Care.2023; 21(4): 658.     CrossRef
• “When I Sing, I Feel Peaceful”: Experiences of Older Choral Singers From North Korea
  Jinmoo Heo, Sanghee Lee, Sua Im, Jaeyoon Bae
  Journal of Applied Gerontology.2022; 41(1): 245.     CrossRef
• Family Caregiver Suffering in Caring for Patients with Amyotrophic Lateral Sclerosis in Korea
  Juyeon Oh, Jung-A Kim, Min Sun Chu
  International Journal of Environmental Research and Public Health.2021; 18(9): 4937.     CrossRef
• Predictors of Breast Self Examination Practice among North Korean Immigrant Women
  Mi Yeul Hyun, Hyo Jeong Song, Eun Joo Lee, Seong Chul Hong, Sung Yob Kim, Chang Hyun Lee
  Korean Journal of Health Promotion.2015; 15(1): 9.     CrossRef

PURPOSE
The purpose of this study was to explore the meaning of the experience of adapting to the dietary treatment for hemodialysis patients.
METHODS
The data were collected through in-depth interviews of ten hemodialysis patients who have been dialyzed for longer than five months. Giorgi's phenomenological method was used for data analysis.
RESULTS
The findings included five constituents and 16 sub-constituents. The five constituents concerning diet therapy were: 'suffering', 'undergoing trial and error', 'understanding the need', 'finding alternatives', and 'realizing the meaning of dietary therapy.' CONCLUSION: The findings contribute to understanding the process of adapting to diet therapy. The results of this study may be utilized in assisting patients to understand the diet therapy process.

Citations

• Effects of a Customized Diet Education Program Using a Mobile Instant Messenger for People Undergoing Peritoneal Dialysis: A Feasibility Test
  Hyun-Jung Lee, Hee-Young Kang
  Asian Nursing Research.2024; 18(4): 367.     CrossRef
• Ethnography on the Health Life of Hemodialysis Patients with Chronic Kidney Failure
  Jinhyang Yang, Myung-Ok Cho
  Korean Journal of Adult Nursing.2021; 33(2): 156.     CrossRef
• An Alternative View of a Hemodialysis–Life Balance: Life Reorganization of Korean Patients Undergoing Hemodialysis
  Songsoon Kim, Jinhyang Yang
  Journal of Transcultural Nursing.2021; 32(6): 664.     CrossRef
• Effects of Auricular Acupressure in Patients on Hemodialysis
  Eun Sook JUNG, Ae Kyung CHANG
  Journal of Nursing Research.2020; 28(4): e106.     CrossRef
• Factors Influencing Self-Care Behaviors of Renal Dialysis Patients
  Yoonjung Kim, Sanggeon Park
  STRESS.2019; 27(4): 320.     CrossRef

PURPOSE
This study was a qualitative study to explore and understand the adaptation experiences of hemodialysis among women with End-Stage Renal Disease (ESRD) and to develop a substantive theory using the grounded theory method.
METHODS
Participants were 15 female patients who underwent hemodialysis for ESRD treatment from three general hospitals. The data were collected through in-depth individual interviews.
RESULTS
The adaptation experience of participants was emerged as a process of taking care and enduring. There were four adaptation stages as a negative, despair, receptive, and maintenance period in reference to hemodialysis. The causal conditions were a vague expectations of recovery and refusal to undergo hemodialysis. The core phenomenon was that of confinement to dialysis machine. The contextual conditions for this phenomenon were the loss of femininity. They used action/interaction strategies such as transition their life with a focus on hemodialysis, seeking information, and learning how to take care of their body. Through this process, they had a strong will to live or had sustained their life.
CONCLUSION
These results indicate that there is a need for nurses to understand the different steps of adaptation experiences of the given patient population. It is necessary for nurses to support them to lead their life as much normal as possible and improve the adaptation experience of ESRD.

Citations

• Progressing the understanding of chronic illness and its treatment: A post-human, ethological understanding of haemodialysis
  Victoria Cluley, Helen Eborall, Katherine Hull, Niamh Quann, James O Burton
  Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine.2024; 28(5): 716.     CrossRef
• Healthy life of Korean patients with chronic kidney failure undergoing hemodialysis: A situation-specific nursing theory
  Jinhyang Yang, Myung-Ok Cho, Haeok Lee
  Applied Nursing Research.2022; 65: 151584.     CrossRef
• Ethnography on the Health Life of Hemodialysis Patients with Chronic Kidney Failure
  Jinhyang Yang, Myung-Ok Cho
  Korean Journal of Adult Nursing.2021; 33(2): 156.     CrossRef
• An Alternative View of a Hemodialysis–Life Balance: Life Reorganization of Korean Patients Undergoing Hemodialysis
  Songsoon Kim, Jinhyang Yang
  Journal of Transcultural Nursing.2021; 32(6): 664.     CrossRef
• The Illness Adaptation Process of Patients Suffering from Atrial Fibrillation: Living a Life Managing the Silent Insurrection of the Heart
  A-Leum Han, Suhye Kwon
  Korean Journal of Adult Nursing.2020; 32(3): 326.     CrossRef
• Gender-based experiences on the survival of chronic renal failure patients under hemodialysis for more than 20 years
  Mi-Kyoung Cho, Gisoo Shin
  Applied Nursing Research.2016; 32: 262.     CrossRef

PURPOSE
The purpose of this study was to examine the relationships between treatment belief, personal control, depressive mood, and health-related quality of life in patients with hemodialysis based on self-regulation theory.
METHODS
Data were collected from 220 patients at 27 local hemodialysis clinics in Seoul during 2013 and 2014. The Revised Illness Perception Questionnaire, the Hospital Anxiety and Depression Scale, and Medical Outcomes Study Short Form-12 were used to measure outcome variables. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson correlation, and multiple regression using the 'enter' method.
RESULTS
Treatment belief and personal control scored 3.58 and 3.54 out of 5 points respectively, on average. Treatment belief and personal control of kidney disease were negatively correlated with depressive mood and positively correlated with health-related quality of life. According to the regression analysis, treatment belief, monthly income, and personal control were discovered to account for 21.8% of the variance in depressive mood, where as depressive mood, monthly income, treatment belief, and age were found out to account for 40.6% of the variance in health-related quality of life.
CONCLUSION
Our study demonstrated significant positive relationships between treatment belief and illness outcome in hemodialysis patients. Interventions aimed to provide the necessary information and trust to maximize the effectiveness of treatment need be developed to improve patients outcomes.

Citations

• Predictive Model of Self‐Management and Quality of Life for Patients on Hemodialysis Using Information‐Motivation‐Behavioral Skills Model: A Cross‐Sectional Study
  Sung Reul Kim, Hye Young Kim, Eun Ko, No Eul Kang, Kang Sun Lee
  Nursing & Health Sciences.2025;[Epub]     CrossRef
• Effects of Depression, Social Support of Tuberculosis Patients on Self-care
  Go Un Lee, Hye Kyung Lee
  Journal of Korean Academy of Community Health Nursing.2022; 33(4): 456.     CrossRef
• Correlations between uncertainty in illness and anxiety, depression and quality of life in patients receiving maintenance haemodialysis: A cross‐sectional study
  Jingxia Cheng, Dongju Yang, Qiantao Zuo, Weixu Peng, Longling Zhu, Xiaolian Jiang
  Nursing Open.2022; 9(2): 1322.     CrossRef
• Factors Affecting Fear of Cancer Recurrence in Hematopoietic Stem Cell Transplant Patients
  Eun Jin Jo, Sanghee Kim
  Asian Oncology Nursing.2021; 21(2): 88.     CrossRef
• Mediating Effects of Self-Care Competence on the Relationship between Uncertainty and Quality of Life in Hemodialysis Patients
  Yoon Jung Chae, Jun Hee Ahn, Kyung Pyo Kang, Eunhee Jo
  Korean Journal of Adult Nursing.2020; 32(1): 67.     CrossRef
• Factors affecting depressive symptoms in employed hemodialysis patients with chronic renal failure
  Hae Ok Jeon, Jiyoung Kim, Oksoo Kim
  Psychology, Health & Medicine.2020; 25(8): 940.     CrossRef
• Illness uncertainty and complementary and alternative medicine use in patients undergoing hemodialysis
  Hae Ok Jeon, Bo Hye Kim, Oksoo Kim
  Nursing & Health Sciences.2019; 21(3): 375.     CrossRef
• Predictors Influencing of Medication Adherence in Hemodialysis Patients
  Hana Kim, Eunha Kim
  Korean Journal of Adult Nursing.2019; 31(3): 283.     CrossRef
• Structural Equation Modeling of Self-Management in Patients with Hemodialysis
  Jieun Cha
  Journal of Korean Academy of Nursing.2017; 47(1): 14.     CrossRef
• Effects of Intra-dialytic, Short-term Resistance Exercise on Physical Fitness, Depression and Dialysis Adequacy
  On Lee, Myoung-Hyee Kim, Chang-Hwa Lee, Il-Hwan Oh, Yeon-Soo Kim
  The Korean Journal of Sports Medicine.2016; 34(2): 162.     CrossRef

PURPOSE
The aim of this study was to identify factors affecting the perception of sex life and sexual desire coping behavior among the spouseless elderly.
METHODS
The participants were 149 elders who resided in six administrative regions of B city. Data were collected from December 1, 2012 to March 3, 2013 using a questionnaire. Data were analyzed using descriptive statistics, t-test, ANOVA, Scheffe test, Pearson's correlation coefficient, and Stepwise multiple regression in a PASW 18.0 program.
RESULTS
Stepwise multiple regression analysis of data indicated that the most likely predictor is gender. Gender, sexual relation, subjective health status and parent-child relationship explained 34% of the variance of perception of sex life. Gender, dating status and age explained 44% of the variance of sexual desire coping behavior.
CONCLUSION
Based on the study findings, gender and current dating status should be considered to conduct comprehensive sex health care education for healthy sex life of the elderly with no spouse.

PURPOSE
The purpose of this study was to investigate the levels of burden, family resilience and adaptation of caregivers of elderly patients with dementia, and further to identify factors influencing their adaptation.
METHODS
A cross-sectional descriptive study was designed. Data were collected from questionnaires distributed to 131 family caregivers of elderly patients who visited at the Centers for Dementia in Seoul during 2012~2013. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation analysis, and stepwise multiple regression.
RESULTS
The average age of the care giving subjects was 63.58, and 31.3% were male, and 41.2% were the spouses. Statistically significant relationships were found between burden and adaptation (r=-.38, p<.001), and between family resilience and adaptation (r=.52, p<.001), and between burden and family resilience (r=-.35, p=.001). Thirty percent of adaptation was explained by burden and family resilience. The most influencing factor to adaptation was family resilience which explained about 27% of the variance.
CONCLUSION
The results of the study clearly indicate that family resilience explains better than burden on adaptation of family caregivers. Thus, to develop more effective nursing intervention for family caregivers of elderly patients with dementia, it would be necessary to integrate family resilience in the programs. 27% is not that much and I wonder if we have to do more work to identify the factors that influence care giving.

PURPOSE
This study was to explore work experience among nurses with low back pain. Specific aims were to identify problems nurses face as workers at a hospital and how they interact with other workers.
METHODS
Grounded theory methodology was utilized. Data were collected from iterative fieldwork with individual in-depth interviews from 9 nurses with low back pain as key informants, and a head nurse and a charge nurse who had experiences working with nurses with low back pain as general informants.
RESULTS
Through constant comparative analysis, a core category emerged as "to make one's own ground". The process of "to make one's own ground" was identified as four categories: perception of limitations, intervening conditions, balancing limitations, and controlling limitations. Intervening conditions were identified as 'working conditions' and 'personal traits'.
CONCLUSION
Findings of the study indicate that there is a need for health professionals and administrators to understand limitations to working experience among nurses with low back pain. In addition, institutional and psychological support program is needed to improve an adaptation to working environment among nurses with low back pain.

PURPOSE
The purpose of the study was to examine the relationships between cognitive coping, hope, depression, and life satisfaction of hemodialysis patients based on the stress-coping model.
METHODS
For this cross-sectional survey, 142 participants were recruited from 10 local clinics in Seoul and Daegu during 2012-2013. The data collection instruments included the Cognitive Emotion Regulation Questionnaire, the Herth Hope Index, the Hospital Anxiety and Depression Scale, and the Satisfaction with Life Scale. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation analysis, and stepwise multiple regression.
RESULTS
The cognitive coping scores were significantly related to hope, depression, and life satisfaction. The coping strategies explained 80%, 37%, and 38% of the variances in hope, depression, and life satisfaction, respectively. The most powerful coping strategy was positive refocusing, explaining 73% in hope, 25% in depression, and 25% in life satisfaction.
CONCLUSION
The results of the study indicate that cognitive coping plays an essential role for psychological adaptation of hemodialysis patients. Thus, interventions integrating positive refocusing would help instilling hope of hemodialysis patients in Korea.

Citations

• The Effects of Spiritual Well-being on Self-care Practices in People Undergoing Hemodialysis: The Mediating Effect of Hope
  Bu Kyung Kim, Pok-Ja Oh
  Korean Journal of Adult Nursing.2022; 34(6): 592.     CrossRef
• Factors Influencing Resilience among Korean adolescents and young adult survivors of childhood cancer
  Yoon Jung Shin, Eui Geum Oh
  European Journal of Oncology Nursing.2021; 53: 101977.     CrossRef
• A health‐related quality of life model for patients undergoing haemodialysis
  Hye Min Jung, Hye Young Kim
  Journal of Clinical Nursing.2020; 29(3-4): 613.     CrossRef
• Difficulties of Treatment Adherence in Adult Patients with Hemodialysis
  Cho Rong Gil, Kyung Mi Sung
  The Korean Journal of Rehabilitation Nursing.2018; 21(2): 71.     CrossRef
• Structural Equation Modeling of Self-Management in Patients with Hemodialysis
  Jieun Cha
  Journal of Korean Academy of Nursing.2017; 47(1): 14.     CrossRef
• The influence of Cognitive Coping on Sick Role Behavioral Compliance and Depression, Satisfaction with Life in Hemodialysis Patients
  Ji-Hyun Kim
  Journal of the Korea Academia-Industrial cooperation Society.2015; 16(2): 1328.     CrossRef
• Factors related to Hope and Relationships between Hope, Physical Symptoms, Depressive Mood and Quality of Life in Young Adult and Prime-aged Patients with Hemodialysis
  Jieun Cha, Dallong Han
  Journal of Korean Academy of Psychiatric and Mental Health Nursing.2014; 23(4): 250.     CrossRef

PURPOSE
This study was designed to identify effects of self-esteem and health status on adaptation of elderly residents in facilities.
METHODS
The sample consisted of 151 elderly residents. The data collected from January to April 2010 were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression. Using instruments were self-esteem scale (SES) (Rosenberg, 1965), Korean health status measure for the elderly (KoHSME) (Shin et al, 2002), and nursing home adaptation scale (Lee, 2007).
RESULTS
The mean scores of self-esteem (2.90+/-0.71), health status (2.15+/-0.53) and adaptation (2.98+/-0.44) of elderly residents in facilities were above the average. Self-esteem was significantly varied according to religion, economic status and living expenses. Health status was significantly different according to age, disease and motivation of getting into the facilities. Adaptation was significantly different according to religion, satisfaction of facilities and decision maker of getting into the facilities. Significant correlations were found between self-esteem, health status and adaptation. Self-esteem and health status were influencing factors of adaptation (22.6%).
CONCLUSION
These findings indicate that perceived self-esteem and health status may be requirements for promoting adaptation of elderly residents in facilities. These results could be utilized in the development of supportive programs for elderly adaptation.

PURPOSE
The purpose of the study was to describe psychosocial difficulties experienced by cancer patients.
METHODS
Three focus group interviews were conducted to collect the data from 19 outpatients with cancer undergoing treatments during 2009. All interviews were audio-recorded and transcribed verbatim. The data were analyzed using constant comparative analysis of grounded theory.
RESULTS
As a result of constant comparative analysis, 'psychosocial distress' was identified as a core category, and seven subcategories were identified. 'Plunged into negative emotions' and 'damaged self-identity' were identified as major categories in the individual dimension. 'Difficulty in dealing with diagnosis' and 'hasty expectations and concerns' were identified in the dimension of family. 'Inefficient communication' and 'lack of necessary information' were identified in the dimension of health care setting. 'Lonely journey into a strange territory' was identified in the dimension of society.
CONCLUSION
The results of the study indicate that cancer patients experience a wide range of psychosocial problems. Thus, in assessing and relieving psychosocial distress of cancer patients, it is necessary to focus not only on the level of the individual but also on the levels of family, health care setting, and society in general is necessary.

PURPOSE
This study aimed to explore the constituents and structure of adaptation experiences in their everyday life among senior patients of a nursing home in order to provide nursing intervention data for the satisfaction and the improvement of life of senior patients by appreciating the nature of their adaptational experience.
METHODS
The participants were five female and one male senior patients who were 65-years old or older and admitted at a nursing home in a metropolitan city. The interview data were analyzed by the Giorgi's phenomenological analysis method.
RESULTS
As the results of analysis, the following three constituents have been found out: retrospective focus based on the meaning of admission, expanding a view and facing up to the reality, reconstructing views about the meaning of life and the world.
CONCLUSION
With the increasing number of senior in facilities, nurses not only play a key role in caring for seniors but also in managing their maladaptation. Thus, it is considered that the results obtained from the this study provide valuable information for both the senior patients and their families as well as for the nurses, by presenting the data about senior patients' adaptational experiences of nursing home admission.

The purpose of this research was to examine the effect of support group intervention on the various adaptations of primary family caregivers caring for Cerebro-Vascular Accident patients. The nonequivalent control group pretest- posttest design within the framework of Lazarus & Folkman's stress-adaptation model was used for this experimental study. The subjects were 86 primary family caregivers caring for Cerebro-Vascular Accident patients at K hospital in Taegu, D herbal hospital in Kyung Ju, H hospital in Pohang from March, 1998 to July, 1998. Among 86 subjects, 43 were placed in an experimental group and 43 in a control group. The experimental group was treated by researcher who administered informational and emotional support group intervention once a week over a five weeks period. The data were collected through interviews. Collected data was analized by means of a chi-square test, t-test, ANCOVA, and Pearson correlation coefficient. The results of this research were as follows: 1. Physical, emotional, and social adaptation scores in the experimental group were revealed to be significantly higher than those of the control group. 2. There was significant positive correlation among physical health, subjective burden, depression and objective burden. Accordingly, it is concluded that informational and emotional support group intervention was a useful nursing intervention on the various adaptations of primary family caregivers caring for Cerebro-Vascular Accident patients.